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Diabetes Common After Pregnancy-Related Diabetes
posted 05/14/04
Developing Diabetes After Gestational Diabetes More Common.
Diabetes that develops during pregnancy normally clears up
after delivery. Nowadays, however, full-blown diabetes often develops in women
with previous so-called gestational diabetes mellitus (GDM), according to a new
study. This appears to be the result of a substantial increase in body weight
among women with GDM.
In a study published in the medical journal Diabetes Care, Dr. Jeannet Lauenborg,
of Copenhagen University Hospital, in Denmark, and colleagues examined the
incidence of diabetes among Danish women with previous GDM. They also assessed
risk factors for the development of diabetes.
The researchers studied 241 women with diet-treated GDM during 1978 to 1985 (old
cohort) and 512 with GDM between 1987 and 1996 (new cohort). A total of 481
women were followed for an average of almost 10 years after their pregnancy.
By the end of follow-up, diabetes was present in 192 (40 percent) of the
participants while another 130 (27.0 percent) had impaired glucose tolerance,
Lauenborg and colleagues report.
Diabetes developed in 41 percent of the new cohort, compared with only 18
percent of the old cohort.
Pre-pregnancy body mass index (weight related to height) was significantly
higher in the new cohort compared with the old cohort, the team found.
"Women with previous GDM represent a target group for intervention to postpone
or prevent the development of overt diabetes," the authors conclude.
Source: Diabetes In Control.com: Diabetes Care, May 2004.
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